Individual provider Active NPI

Gregory Durham, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1750764718
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.17593 Issued in OH
Practice address
905 Nebraska Ave
Toledo, OH 43607-4222
Phone
(419) 841-7701
NPI assigned
Jul 8, 2015
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.17593 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.17593 OH Primary

Addresses

Primary practice location

905 Nebraska Ave
Toledo, OH 43607-4222

Mailing address

2005 Ashland Ave
Toledo, OH 43620-1703
Phone (419) 841-7701

Other practice location 1

433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827001862 OH Practitioner - Nurse Practitioner 4880900406 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.17593OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zepf Center CurrentSince Jan 6, 2025 Accepting new patients
Incare Health Solutions LLC CurrentSince Mar 23, 2020 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jun 1, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jun 1, 2023 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Mar 23, 2020 Accepting new patients
Zepf Center CurrentSince Jan 6, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Zepf Center Past Accepting new patients

Locations

1107 S Main St
Ste 300
Bowling Green, OH 43402
Phone (419) 806-4222

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2005 Ashland Ave
Toledo, OH 43620
Phone (419) 255-3040

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

6605 W Central Ave
Ste 100
Toledo, OH 43617
Phone 41984177012235

905 Nebraska Ave
Toledo, OH 43607
Phone (419) 244-8848

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1750764718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201703",
            "telephone_number": "419-841-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NEBRASKA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436074222",
            "telephone_number": "419-841-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 W High St",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435061690",
            "country_code": "US",
            "telephone_number": "419-636-1131",
            "fax_number": "419-636-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "GREGORY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17593",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.17593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.